A Case of Laparoscopic Surgery for Ileal Lipoma Presenting With Intussusception Diagnosed by Enteroscopy

Kanno, Hitoshi; Yamashita, Naoyuki; Kakinuma, Daisuke; Sumiyoshi, Hiroki; Ozawa, Toshifumi; Uchida, Eiji

doi:10.3919/jjsa.71.966

Cited by 1 publication

(3 citation statements)

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“…Adult intussusception is rare, accounting for only 5% of all cases. 1,2 More than 80% of cases are caused by organic disorders, with intestinal tumors accounting for 59%. 3 About 60% to 70% of the intestinal tumors involved are benign, and lipoma ranks as the second most common cause of intestinal intussusception, accounting for 17%.…”

Section: Discussionmentioning

confidence: 99%

“…3 About 60% to 70% of the intestinal tumors involved are benign, and lipoma ranks as the second most common cause of intestinal intussusception, accounting for 17%. 5 Around 70% to 80% of lipomas are reportedly found in the ileum, especially within 60 cm of the terminal ileum, 1,5,6 and the mean size of the lipoma causing intussusception is reportedly around 35 mm. 2 Secondary symptoms such as abdominal pain from diverticula and bleeding from ulceration of the overlying mucosa at the top of the tumor have been reported, usually in association with lipoma over 20 mm in diameter.…”

Section: Discussionmentioning

confidence: 99%

“…A dult intestinal intussusception is a rare disease known to be associated with intestinal tumors. [1][2][3] Lipoma, one of the most common causes of intestinal intussusception, usually occurs singly and few reports have described multiple lipomatosis. 4 We describe here a case requiring partial ileal resection on 2 occasions due to intussusception from multiple lipomatosis.…”

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confidence: 99%

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Case Report: Repetitive Surgical Resections for Intestinal Intussusception due to Multiple Ileal Lipomatosis

Oya

Yamagata

Yagi

et al. 2016

International Surgery

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Adult intestinal intussusception is a rare disease known to be associated with intestinal tumors. We describe a case requiring partial ileal resection in 2 occasions due to intussusception from multiple lipomatosis. A 45-year-old Japanese man was referred to our hospital for detailed examination after positive fecal blood test results and intermittent abdominal pain. He was diagnosed with intussusception of the ileum due to multiple lipomatosis and underwent partial ileal resection. Three years after the first surgery, he again experienced intermittent abdominal pain and nausea, and was referred to our department. Contrast-enhanced computed tomography at this time also showed intussusception near the ileocecal valve, with several fat-density tumors. He underwent partial ileal resection as an emergency surgery, with the histologic diagnosis confirming ileal multiple lipomatosis. Repeated surgical resections are sometimes required for patients with intestinal intussusception due to lipomatosis, since lipomas not causing symptoms are often left untouched after minimal resection. Close follow-up such as contrast-enhanced CT and small-bowel endoscopy after surgery should be performed regularly so that the patients can avoid emergency surgeries because of the insufficient preoperative examinations.

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Section: Discussionmentioning

confidence: 99%